Americans spend more on healthcare than anyone else in the world. A big reason is the high prices Americans pay for surgeries and drugs.

Regulatory pressure on pharmacy benefit managers continues to build, with enforcement actions and new disclosure requirements pushing greater visibility into pricing and rebate structures. This is beginning to give employers more leverage in managing pharmacy spend.

Employers are increasingly exploring direct contracting, centers of excellence, and alternative network models to improve outcomes and control costs. At the same time, these approaches introduce new compliance, data-sharing, and operational challenges.

Legal scrutiny is expanding beyond retirement plans into health benefits. Employers are increasingly expected to demonstrate that their vendor decisions and cost structures are prudent and aligned with participant interests.

This presentation was delivered at a recent Employee Health Care Conference. It provides an excellent update on top federal policy issues and the environment impacting price transparency, prescription drug costs, and medicare reimbursement.

This news story highlights the latest ERISA lawsuit charging national employers and consultants with breach of fiduciary duty, as relating to employee benefits.

While sensationalized, we validated that this article by Hunterbrook Media accurately describes the flow of money that drug manufacturers pay in discounts, rebates, and fees to pharmacy benefit managers (PBMs).

This survey confirms what most employers are experiencing: Health benefit cost is rising must faster than inflation or wage growth.

This survey from the Business Group on Health highlights why employers must prioritize changing their health plan strategies and why the innovations we back are so critical right now.

Big employers who’ve tried to insulate workers from rising health costs are preparing to share the pain in the form of higher premiums. Read this article to learn more.

Read this report to explore the rising healthcare benefit costs U.S. employers face and how they’re navigating the financial trade-offs between competing priorities.

Self-funded health plans dominate U.S. employer coverage, with 63% of workers enrolled in plans funded directly by their employers. Read the full survey for more findings on the evolving U.S. health system.

Read this report to gain insight into top U.S. health benefits trends. It reveals the importance for stakeholders to optimize value for their customers, as opposed to maximizing value for themselves.

Read this article that examines the world of employer healthcare decision-making, performance optimization strategies that actually move the needle, and the ethical minefield of having your paycheck and your healthcare controlled by your employer.

View this Digital Health DataMap to get a sense of how digital health companies can vary by the data they work with—from genomics and clinical trials to behavioral and provider performance data.

Read this article to learn how the right data can help employers identify where they are spending the most money and where they should invest to benefit their workforce.